Individual
NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 WALNUT ST, NEPTUNE, NJ 07753-4301
(732) 774-3550
Mailing address
272 COLTS NECK RD, FARMINGDALE, NJ 07727-3640
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-2548
NJ
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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